CCDC42 is a coiled-coil structural protein essential for sperm flagellum biogenesis and head-tail coupling apparatus (HTCA) integrity during spermiogenesis (PMID:26945718). Its expression is restricted to brain and developing testes, consistent with a dedicated role in spermatid differentiation (PMID:26945718). In spermatids CCDC42 localizes to the manchette, the connecting piece (HTCA), and the sperm tail, and it also marks the centrosome in somatic cells (PMID:31475146). Mechanistically, CCDC42 operates within a sperm-specific cytoskeletal protein network: it physically interacts with the outer dense fiber proteins ODF1 and ODF2 (PMID:31475146), with the manchette/tail protein CCDC38 (PMID:35587122), and with CCDC146 (PMID:38038747); loss of Ccdc146 does not alter CCDC42 protein levels, placing CCDC42 upstream of or independent from CCDC146 in this pathway (PMID:38038747). CFAP58 also binds CCDC42 and acts to stabilize it during intra-manchette/intraflagellar transport (PMID:38602507), integrating CCDC42 into the transport machinery that builds the sperm flagellum and connecting piece.